PREVENTION - Wa
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PREVENTION 8 - 1
Transcript of PREVENTION - Wa
PREVENTION
8 - 1
“ASPIRE TO NO ASPIRATION”
Individual support
Include client in planning
PAY ATTENTION!
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It takes 30 or more minutes to eat
The person can’t breathe and swallow at the same time
He/she makes gurgling sounds
The person has an absent or weak cough
He/she is not alert
He/she is ruminating or vomiting
The person has lost weight
REFER the person for swallowing assessment
and choking prevention plan
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Ensure that everyone working with the person knows:
the individual, meal plan, positioning, symptoms to watch for (i.e. chewing/swallowing problems, coughing/choking, who to contact in an emergency, what to report)
Environmental enhancements: such as coated spoons special dishes or cups, other assistive devices, seating, etc., to prevent aspiration
Diet: “special diets”, amounts, prompts, items that must be avoided, assistive eating techniques, reflux meds and precautions, presentation of meals, adequate nutrition, fluid intake, consistency/texture
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If sitting down: sit upright or at 30-45
degrees, head midline/chin tucked
If lying down: head of bed should be elevated
at least 30-45 degrees
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Feeder to sit at or below person’s eye level
Encourage bites, sips, eating slowly
Limit use of straws because fluid flow can’t be controlled and person may get too much/too fast
Watch for the person to swallow
Check mouth for contents before giving more
Encourage the person not to talk while eating
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